| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,508 |
2,229 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
764 |
762 |
$12K |
| 11721 |
|
133 |
131 |
$2K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
24 |
12 |
$955.34 |
| 73630 |
|
137 |
106 |
$805.53 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
110 |
97 |
$506.28 |
| 99243 |
|
25 |
25 |
$0.00 |